NPI | 1548325806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS LMLP 0405) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KS LCP 242) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2007-07-08 |